User Registration Form  
         
    Name  *  
    User ID  *  (User should give own User ID & Password)  
    Password  *  (alpha-numeric and 6-10 character)  
    Nationality  *  
       
    Date Of Birth   /  *    Proof   *  
      (DD/MM/YYYY)  
    Identity Proof  *            ID No. *  
         
    Father's Name  *  
         
    Address  *  
     
       
    Email  *  
         
    Last Degree   
    Occupation   
                                    * Fields  are mandatory  
   
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